Individual provider Active NPI

Sara Beth Janiuk, M.S., LPC, CSAC

  • Professional Counselor
  • West Bend, WI
National Provider Identifier
1295006229
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5242-125 Issued in WI
Practice address
333 E Washington St
Suite 2200
West Bend, WI 53095-2585
Phone
(262) 365-6563
Fax
(262) 365-6559
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15826-132 WI
Professional Counselor 101YP2500X 5242-125 WI Primary

Addresses

Primary practice location

333 E Washington St
Suite 2200
West Bend, WI 53095-2585

Mailing address

333 E Washington St
Suite 2200
West Bend, WI 53095-2585
Phone (262) 365-6563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220001386 WI Practitioner - Mental Health Counselor 2961852793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians

Practice addresses (Care Compare)

3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
15826-132WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1295006229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON ST",
            "address_2": "SUITE 2200",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952585",
            "telephone_number": "262-365-6563",
            "fax_number": "262-365-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E WASHINGTON ST",
            "address_2": "SUITE 2200",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952585",
            "telephone_number": "262-365-6563",
            "fax_number": "262-365-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIUK",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "M.S., LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15826-132",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5242-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.